Capacity Building Training Capacity Building Training Course on Infant and Young Course on Infant and Young

Child Feeding Counselling for Child Feeding Counselling for Development of Middle Level Development of Middle Level

TrainersTrainers

Mr. P.K. SudhirMr. P.K. SudhirCoordinator, Training & financeCoordinator, Training & finance

Breastfeeding Promotion Network of Breastfeeding Promotion Network of IndiaIndia

EvidenceEvidence Optimal IYCF is the most effective single intervention to improve Optimal IYCF is the most effective single intervention to improve

child health, prevent malnutrition and reduce neonatal, infant and child health, prevent malnutrition and reduce neonatal, infant and child mortality. It is well documented that breastfeeding is the child mortality. It is well documented that breastfeeding is the optimal nutrition for infants and reduces the risk of infectious optimal nutrition for infants and reduces the risk of infectious diseases like diarrhoea and pneumonia substantially. Breastfeeding diseases like diarrhoea and pneumonia substantially. Breastfeeding may also enhance the effect of some vaccines. Improvements of may also enhance the effect of some vaccines. Improvements of complementary feeding could substantially reduce stunting and complementary feeding could substantially reduce stunting and related burden of disease. Thus, effective interventions to improve related burden of disease. Thus, effective interventions to improve IYCF will have positive effects on child morbidity and mortality, as IYCF will have positive effects on child morbidity and mortality, as well as adult human capital. Despite the importance of nutrition in well as adult human capital. Despite the importance of nutrition in early life, there are few examples of large-scale effective early life, there are few examples of large-scale effective interventions from India, where 42.5% of children under 5 are interventions from India, where 42.5% of children under 5 are underweight. underweight.

An assessment of different interventions to reduce undernutrition An assessment of different interventions to reduce undernutrition showed that counseling about breastfeeding has one of the greatest showed that counseling about breastfeeding has one of the greatest potentials to reduce the burden of child morbidity and mortality. potentials to reduce the burden of child morbidity and mortality. Complementary feeding could also be improved through nutrition Complementary feeding could also be improved through nutrition counseling, although additional measures may be necessary in food counseling, although additional measures may be necessary in food insecure settings.insecure settings.

Statistics (Punjab)Statistics (Punjab)National Family Health Survey (NFHS-3)National Family Health Survey (NFHS-3)

Infant Mortality Rate – 42/1000Infant Mortality Rate – 42/1000 Under weight children – 25%Under weight children – 25% Early breastfeeding within one hour – Early breastfeeding within one hour –

12.7%12.7% Exclusive breastfeeding rate – 36%Exclusive breastfeeding rate – 36% Complementary feeding rate – 50%Complementary feeding rate – 50%

IYCF Counseling Training in IYCF Counseling Training in 2 District (Ferozpur and Gurdaspur) of 2 District (Ferozpur and Gurdaspur) of

Punjab, IndiaPunjab, India

ObjectiveObjective

To reduce infant mortality & To reduce infant mortality & morbidity as well as under nutrition morbidity as well as under nutrition through Infant and young Child through Infant and young Child Feeding Counselling: A Training Feeding Counselling: A Training Course – The 3 in 1 course Course – The 3 in 1 course (An (An integrated course on breastfeeding, integrated course on breastfeeding, complementary feeding & infant complementary feeding & infant feeding & HIV – counselling)feeding & HIV – counselling)

StrategyStrategy

To develop Middle Level Trainers To develop Middle Level Trainers (Medical Officer, staff nurses)(Medical Officer, staff nurses) and and Frontline workers Frontline workers (ANM, ASHA etc.)(ANM, ASHA etc.)

ProcessProcess

Meetings with Mission Director, Meetings with Mission Director, National Rural Health Mission National Rural Health Mission (NRHM), Government of Punjab(NRHM), Government of Punjab

Memo of Understanding (MOU)Memo of Understanding (MOU)

Role of PartnersRole of Partners

Breastfeeding Promotion Network of Breastfeeding Promotion Network of India (BPNI), State Health Society India (BPNI), State Health Society (SHS) under NRHM Punjab(SHS) under NRHM Punjab

Meetings at District Level – Civil Meetings at District Level – Civil SurgeonSurgeon

Training of Middle Level Training of Middle Level TrainersTrainers

6 days training on IYCF counseling at 6 days training on IYCF counseling at district HQ by National Trainers of district HQ by National Trainers of BPNIBPNI– 2 training at Ferozpur2 training at Ferozpur

12 Medical Officers trained12 Medical Officers trained 36 Staff nurses trained36 Staff nurses trained

– 2 training at Gurdaspur2 training at Gurdaspur 17 Medical officers trained17 Medical officers trained 41 Staff nurses trained41 Staff nurses trained

Course structureCourse structure

Lectures Lectures Demonstrations and role playDemonstrations and role play Clinical PracticeClinical Practice Lecture by traineesLecture by trainees

Training programme for Middle Training programme for Middle Level TrainerLevel Trainer

Criteria and Guideline for Criteria and Guideline for Middle Level TrainerMiddle Level Trainer

LecturesLectures

DemonstrationsDemonstrations

Clinical PracticeClinical Practice

Lecture by traineesLecture by trainees

Training of Frontline WorkersTraining of Frontline Workers

Three days training Three days training on IYCF counseling on IYCF counseling of ANM & ASHA at of ANM & ASHA at CHC/PHC.CHC/PHC.

Approximately 3500 Approximately 3500 frontline workers frontline workers (ANM & ASHA) have (ANM & ASHA) have been trained in been trained in these 2 districts by these 2 districts by Middle Level Middle Level TrainersTrainers

SupervisionSupervision

Supervision of 3 days training of ANM Supervision of 3 days training of ANM & ASHA by National Trainers of BPNI& ASHA by National Trainers of BPNI

EvaluationEvaluation

The evaluation of the training The evaluation of the training process has been conducted by an process has been conducted by an independent agency.independent agency.

Hum Honge Kamyab Ek DinHum Honge Kamyab Ek DinWe will succeed in our mission one We will succeed in our mission one

dayday

Thank YouThank You